• Health Insurance

    • Health Insurance Reform

      While the ACA exchanges have brought about new insurance coverage opportunities for Texans, significant problems remain — and potential new ones are developing — with traditional health insurance companies and Texas’ workers’ compensation program.
  • Current Health Insurance Articles

    • Texas Medicine Scores for Patients, Physicians in Legislature
      A lineup that swung for the fences — combined with a solid defense and some outstanding pitching — led Texas medicine to an outstanding season at the top of the standings in the 2015 Texas Legislature.The Texas Medical Association team hit home runs on graduate medical education funding, Medicaid fraud reform, e-cigarette regulation, tax cuts, and red tape elimination. The pitching staff threw a perfect game, keeping all inappropriate and dangerous expansions of nonphysician practitioners’ scope of practice off of the base paths.  
    • 2015 Legislative Wins: Oncologists
      2015 Legislative Wins: Oncologists
    • Capitol Success
      This legislative session, medicine resolved to ensure physicians can give their patients the best care possible. The hard work paid off in significant victories that largely build on the Texas Medical Association's 2013 legislative successes.
    • 2015 Legislative Wins: Emergency Medicine Physicians
      2015 Legislative Wins: Emergency Medicine Physicians
    • Texas Physicians Ask Lawmakers to Fund Critical Health Services
      Seven of Texas’ largest physician organizations — representing more than 48,000 physicians and medical students — today urged state House and Senate budget negotiators to “craft a cost-effective budget that addresses Texas significant health care needs.”  
  • Key Issues

  • Texas Advocacy and Communications

    • Ban Virtual Credit Cards
    • 2015 Legislative Testimonies and Letters
      TMA physician leaders are working on behalf of their profession and their patients to improve Texas health care system. During the this legislative session, TMA councils and committees are locking down and promoting health care policies to ensure Texas’ patients have access to affordable and high quality health care. Read TMA’s testimonies, comments, and letters to state lawmakers.
    • ACA Exchange Plans: Q&A for Texas Physicians - Updated December 2014
      Confused by all you've heard about the Affordable Care Act marketplace insurance plans? Do you know whether you're in — or out — of the narrow networks? How will you tell if a patient is on an exchange plan? What happens to you if patients don't make their premium payments? What, if anything, can you do about all of this? TMA answers these and other tough marketplace exchange questions.  MembersOnlyRed
    • Physicians Prepare for Round Two of the ACA Marketplace
      Round two of the Affordable Care Act (ACA) health insurance marketplace launched with far less fanfare than last year's botched rollout. But even as physician practices do their part to adjust and help care for these newly insured, some of the same uncertainties linger. And with potentially new twists ahead, TMA officials once again remind physicians to be mindful in their business practices surrounding exchange plans.
    • TMA Healthy Vision 2020: Establish Fair and Transparent Insurance Markets
      Read TMA’s legislative strategy and recommendation for 2015 and beyond.
    • TMA Develops Tooklit to Help You Challenge Unfair Rankings
      Physician ranking (also known as physician tiering) has traditionally been a profiling methodology used by private insurance companies to steer patients toward lower-cost physicians.
    • 83rd (2013) Legislative Victories
      It took more than six years, but TMA and our state legislators never gave up. Now a new law regulating silent PPOs penalizes unethical third parties who steal and resell physicians’ discounted rates, for commercial and Medicaid contracts. Lawmakers also passed a prompt-pay law for Medicaid HMOs; no more low-pay, slow-pay, no-pay.